| NPI | 1689860926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CHARLES MCNEIL Therapist 540-362-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003211) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |